| NPI | 1265402002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 28276) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME93936) |
| 207L00000X Anesthesiology (Licence: CO 31435) | |
| 207L00000X Anesthesiology (Licence: MT 10982) | |
| 207L00000X Anesthesiology (Licence: IN 01043742) | |
| 207L00000X Anesthesiology (Licence: IA 32621) | |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2015-04-11 |